Charting Bloopers - page 63

by AHarri66 415,549 Views | 726 Comments

Found in the History and Physical section of a patient's chart who had experienced visual hallucinations while ill: "Patient vehemently denies any auditory, tactile, or old factory hallucinations." YIKES! Angela... Read More

  1. 0
    Yep. As the M.O. reading it said, "Interesting". Admittedly, that seemed to be his favourite word, lol
  2. 2
    Quote from DoubleblessedRN
    I once picked up a pt from LTC who pulled out and damaged her PEG tube. The narrative area on the transfer sheet stated, "PEG tube busted. Please replace."
    I also once saw eurosepsis and hyperpotassemia written in a chart.

    What the??????? Lol.
    nurse_diesel and lindarn like this.
  3. 3
    I swear, absolutely swear: Red, blancheable area at top of butt crack.
  4. 4
    Quote from DixieRedHead
    I swear, absolutely swear: Red, blancheable area at top of butt crack.
    Have you been reading my charting?!
  5. 3
    LOL, just in case anyone wants to know, it's gluteal cleft.
  6. 8
    When reading one of the dictations on a patient with a buttonhole being used for hemodialysis I read, "pt currently using BUTTHOLE on left upper arm AVF". LOL! We were laughing about that one for weeks!
  7. 0
    Quote from AsatruRN
    "catheter exit site positive for gram positive cock site"

    oh no! seriously? ya gotta watch out for those bad boys!
  8. 4
    I'll admit to one of my own charting mistakes....

    The computerized charting in our facility uses a standard assessment form for PT, OT, & Skilled Nursing, so we have to list the department for which we are charting. And, thanks to my mediocre keyboard skills, skilled nursing became:

    "Killed Nursing"

    I'm never going to live that one down....
  9. 9
    Best one I have seen:

    "PRN Tylenol deemed effective. Pt no longer suicidal."

    That is great stuff that tylenol!
  10. 4
    Yesterday, at the hospital, I was reading a patient's H&P. The following was charted:
    "The patient is homeless, severedly depressed and was talking to his hands. He is incompetent of urine. He was admitted from jail but the reason he was incinerated is unknown."